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1194271544
CANDACE BINGAMAN
LOWELL, IN
NPI
1194271544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32003079A)
Enumeration Date
2016-08-26
Last Update Date
2016-08-26
Business Address
-- CANDACE BINGAMAN
630 CHEYENNE DR
LOWELL, IN 46356-1624
Phone number: 219-775-5607
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Mailing Address
-- CANDACE BINGAMAN
630 CHEYENNE DR
LOWELL, IN 46356-1624
Phone number: 219-775-5607
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